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Kansas rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $2.09 / $8.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.98 / $2.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $2.12 / $2.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.83 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.97 / $2.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $552.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.06